Individual provider Active NPI

Edith Gracius, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1174368310
Registry record updated May 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
83373 Issued in KS
Practice address
PO Box 25144
Overland Park, KS 66225-5144
Phone
(615) 877-5651
NPI assigned
Jun 28, 2024
Last updated
May 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 83373 KS Primary

Addresses

Primary practice location

PO Box 25144
Overland Park, KS 66225-5144

Mailing address

PO Box 25144
Overland Park, KS 66225-5144
Phone (615) 877-5651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220003428 KS Practitioner - Nurse Practitioner 4183151632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prairiestar Health Center IncGroup PAC ID 6305822560, 26 clinicians

Practice addresses (Care Compare)

2700 E 30TH Ave
Hutchinson, KS 67502-1242
Phone (620) 663-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
83373KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prairiestar Health Center, Inc CurrentSince Feb 1, 2025 Accepting new patients

Locations

2700 E 30th Ave
Hutchinson, KS 67502
Phone (620) 663-8484

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746316800000",
    "number": "1174368310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25144",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662255144",
            "telephone_number": "615-877-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 25144",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662255144",
            "telephone_number": "615-877-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACIUS",
        "first_name": "EDITH",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2025-05-04",
        "certification_date": "2025-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "83373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.